Electroencephalogram (EEG) recordings are increasingly used to evaluate patients with disorders of consciousness (DOC) or assess their prognosis outcome in the short-term perspective. However, there is a lack of information concerning the effectiveness of EEG in classifying long-term (many years) outcome in chronic DOC patients. Here we tested whether EEG operational architectonics parameters (geared towards consciousness phenomenon detection rather than neurophysiological processes) could be useful for distinguishing a very long-term (6 years) clinical outcome of DOC patients whose EEGs were registered (...) within 3 months post-injury. The obtained results suggest that EEG recorded at third month after sustaining brain damage, may contain useful information on the long-term outcome of patients in vegetative state: it could discriminate patients who remain in a persistent vegetative state from patients who reach a minimally conscious state or even recover a full consciousness in a long-term perspective (6 years) post-injury. These findings, if confirmed in further studies, may be pivotal for long-term planning of clinical care, rehabilitative programs, medical-legal decisions concerning the patients, and policy makers. (shrink)

Velmans’ paper raises three problems concerning mental causation: (1) How can consciousness affect the physical, given that the physical world appears causally closed? 10 (2) How can one be in conscious control of processes of which one is not consciously aware? (3) Conscious experiences appear to come too late to causally affect the processes to which they most obviously relate. In an appendix Velmans gives his reasons for refusing to resolve these problems through adopting the position (which he labels ‘physicalism’) (...) that ‘consciousness is nothing more than a state of the brain’. The rest of the paper, then, is an attempt to solve these problems without embracing a reductionist physicalism. Velmans’ solution to the first problem is ‘ontological monism combined with epistemological dualism’: First-person and third-person accounts are two different ways of knowing the same facts. This kind of reply is not new; it is, for example, a twist on the position expressed in Davidson (1970). True, there are substantial differences: For one, Davidson reconciles the tension between descriptions of events in mentalistic and physicalist language, not between firstand third-person descriptions of states; for another, Davidson actually provides an argument for his position, although to do so he assumes that there are no psycho-physical (or indeed, psycho-psycho) laws, something which I suspect Velmans would be reluctant to do. Nevertheless, they have in common the idea that the causal efficacy of the mental is not at odds with the causal closure of physics, since a mind-involving causal story is just another way of talking about the same facts that a purely physical causal story talks about. This ‘dual-aspect’ approach is a popular tactic for resolving the mind--body problem, but it has some well-known problems, and it is unfortunate Velmans doesn’t reply to these standard objections. For example, a frequently discussed issue in connection with theories of mental causation is the problem of overdetermination (see, e.g., Unger, 1977; Peacocke, 1979). (shrink)

The central point is that the consciousness is an advanced information channel. Consciousness is not the seat of the self or free will. The action is in the sub-consciousness brain systems. Consciousness is a "just so story teller" consciousness collects and correlates scenes into sequential presentations. The function of consciousness is to provide a new information channel between other brain systems. The pre-consciousness communication between brain systems evolved and is limited by the possible pathways, these pathways did not provide the (...) possibility of a historical correlation or integration with a high level pattern of cause and effect at a significantly abstract but focused level. Consciousness provides this pathway. Consciousness provides this pathway by providing a method for the brain to take its existing expressions both visual and auditory and re-create a time line of experiences and conversations that are then re-presented to the rest of the brain through the existing sensory channels at the level of the brain. This is not a feedback loop in the simple sense, but a feedback loop of a rarified and extremely intensely processed, correlated and organized remembering. This allows the brains different functional entities to get information that it could not get from the evolved pre-consciousness internal pathways. These presentation are used by the other brain systems in a manner similar to any sensory input. This perspective would place Consciousness in the position of a cyber reality generator that feeds back to the rest of the brain. (shrink)